45D2062685 CLIA NUMBER - INTERVENTIONAL SPINE AND PAIN LLC

Laboratory Demographics

  • CLIA Code: 45D2062685
  • Facility Name: INTERVENTIONAL SPINE AND PAIN LLC
  • Facility Address: 17051 NORTH DALLAS PARKWAY, SUITE 300
    ADDISON, TX
    ZIP 75001
  • Facility Phone: 214 888-3900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PABLO P. ZEBALLOS
  • NPI Number: 1033509971
  • Taxonomy: 207LP2900X - Anesthesiology

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 45D2062685
LAB Type Physician Office
Facility Name INTERVENTIONAL SPINE AND PAIN LLC
Street 17051 NORTH DALLAS PARKWAY, SUITE 300
City ADDISON
State TX
ZIP 75001
Phone 214 888-3900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director PABLO P. ZEBALLOS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 9/29/2025